BRUCE SVECHOTA-KINGSBURY
NPI 1306104971
Dentist in Reston, VA

Q: What is Bruce Svechota-kingsbury's NPI number?

The NPI number for Bruce Svechota-kingsbury is 1306104971. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Q: What is Bruce Svechota-kingsbury's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Bruce Svechota-kingsbury enrolled in Medicare?

No. Bruce Svechota-kingsbury has opted out of Medicare through June 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 02, 2012Opted out of Medicare · through Jun 9, 2028

11325 SUNSET HILLS RD, RESTON, VA 20190(703) 437-8811 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Bruce Svechota-kingsbury NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE SVECHOTA-KINGSBURY (NPI 1306104971) is an individual dentist in Reston, Virginia, licensed in Virginia (0401413946) and active in the NPI registry since May 2012. He has opted out of Medicare through June 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306104971

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBRUCE SVECHOTA-KINGSBURY

Location Address11325 SUNSET HILLS RDReston, VA 20190-5205

Mailing Address11325 Sunset Hills RdReston, VA 20190-5205 · (703) 437-8811

Phone(703) 437-8811

Sole ProprietorNo

Enumeration DateMay 2, 2012

Last NPPES UpdateJuly 30, 2013

✔ NPI 1306104971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401413946

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11325 SUNSET HILLS RD, Reston, VA 20190

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Bruce Svechota-kingsbury has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2014 through June 9, 2028.

Opt-Out Effective DateJune 9, 2014

Opt-Out In Effect ThroughJune 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUIS J. MARTINEZ D.D.S.

Dentist (Prosthodontics)